摘要
目的:探讨围产儿死亡原因,提出相应对策,以提高围产保健工作质量,降低围产儿死亡率。方法:对海珠区2003年10月～2008年9月死亡围产儿555例住院病历进行回顾性分析。结果:5年内围产儿平均死亡率11.50‰,其中死胎占38.20%、治疗性引产占30.63%、早期新生儿死亡占23.60%及死产占7.57%。导致死胎的原因以脐带、胎盘因素为首位,胎儿畸形是治疗性引产的主要原因,分娩期并发症及胎儿因素是死产的两大原因,新生儿疾病是引起新生儿死亡发生的重要原因,后者与早产有密切关系。结论:加强孕期筛查及监护,避免早产,防止妊娠并发症的发生,强化管理流动孕产妇及贫困孕产妇的分娩救助等是降低围产儿死亡率的措施。
Objective：To explore the causes of perinatal death,put forward countermeasures,so as to improve the quality of perinatal health care and reduce perinatal mortality.Methods：555 perinatal deaths in Haizhu District of Guangzhou city from October 2003 to September 2008 were analyzed retrospectively.Results：The average perinatal mortality was 11.50% during the 5 years,the proportions of fetal death,therapeutic induced labor,neonatal death and stillbirth were 38.20%,30.63%,23.60% and 7.57%,respectively.The main causes of fetal death included umbilical factors and placental factors;fetal anomaly was the main reason of therapeutic induced labor;labor complications and fetal factors were the two main reasons for stillbirth;neonatal diseases were the important reasons for neonatal deaths,and the latter was related to prematurity closely.Conclusion：The measures to decrease perinatal mortality include strengthening screening and nursing during pregnancy,obviating premature delivery,preventing pregnant complications and intensifying the management of liquidity and poor maternal assistance.
出处
《中国妇幼保健》
CAS
北大核心
2010年第7期927-930,共4页
Maternal and Child Health Care of China
关键词
围产儿死亡
死亡归类
预防
干预措施
Perinatal death
Death classification
Prevention
Intervention measures
